Organization
YOUNG MEN'S CHRISTIAN ASSOCIATION AT VA POLYTECHNIC INST. & STATE UNI.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN MARTIN (CEO)
(540) 961-9622
Entity
Organization
Contact information
Practice address
403 WASHINGTON ST SW, BLACKSBURG, VA 24060-4747
(540) 961-9622
Mailing address
403 WASHINGTON ST SW, BLACKSBURG, VA 24060-4747
(540) 961-9622
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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